Individual
MATTHEW JAMES VAN LIGTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5779 E MAYO BLVD, PHOENIX, AZ 85054-4502
(507) 284-2020
Mailing address
308 S SANTA MARIA ST, ORANGE, CA 92869-5646
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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